| NPI | 1376774091 |
|---|---|
| Former Name | OLUFUNMILOLA KEHINDE FAPOHUNDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004115) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 747246) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2016-05-31 |